Dale August Staggemeier Jr., MD
Family Medicine in Kirbyville, TX. Individual provider (NPI-1).
NPI number1346354941
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1346354941
- Entity type
- Individual (NPI-1)
- Name
- Dale August Staggemeier Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M0627 | TX | Yes |
Practice location
205 E Lavielle StKirbyville, TX 75956
Phone 409-489-8938 · Fax 251-260-8205
Mailing address
Po Box 2048Jasper, TX 75951
Phone 409-489-8938 · Fax 251-260-8205
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